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Alternatively, this form may be submitted electronically and the donor billed via surface mail for the amount indicated by clicking the "submit" button below. Do not submit any credit card or confidential information on this page; the information you submit will be transmitted over the internet unencrypted. To pay for your membership securely online with a credit card through PayPal go to this membership page. | ||
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Thank you for your support! |
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| Friend $50.00 |
Sponsor $100.00 | |
| Sustainer $250.00 |
Supporter $500.00 | |
| Benefactor $1,000.00 |
Patron $2,500.00 | |
| STATE | ZIP | |
| HOME PHONE | BUSINESS PHONE | |